Though anterior uveitis is associated with myriad conditions, a relatively short list of disorders accounts for the vast majority of cases.
Knowing the most common etiologies will help non-uveitis specialists make the diagnosis and initiate appropriate therapy or determine which patients are in the smaller subset who may need to be referred, said Todd P. Margolis, MD, PhD.
“One of the primary goals of the diagnostic evaluation for patients with anterior uveitis is to separate infectious from inflammatory etiologies because infectious anterior uveitis is treated with specific antimicrobial therapy whereas immunosuppression is indicated for inflammatory disease,” said Dr. Margolis, Alana A and Edith L. Wolff Distinguished Professor and Chair, John F Hardesty MD Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, MO.
“Knowing the most common conditions associated with anterior uveitis helps to pinpoint the diagnosis, and by doing a Bayesian analysis, clinicians can avoid unnecessary testing that may be more likely to give a false positive result,” Dr. Margolis said.
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Todd P. Margolis, MD, PhD
E: [email protected]
This article was adapted from Dr. Margolis’ presentation during Uveitis Subspecialty Day at the 2018 meeting of the American Academy of Ophthalmology. He has no relevant financial interests to disclose.